Medicina Clinica最新文献_第9页

How could artificial intelligence improve patient experience in the ambulatory setting? Reflections from the JANUS group. 人工智能如何改善门诊环境中的患者体验？来自 JANUS 小组的思考。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.018

Olga Rubio, Marc Vila, Manel Escobar, Alvar Agusti

引用次数: 0

Varicella diaper rash. 水痘尿布疹

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.027

Sara Becerril Andrés, Pablo Fernández Fernández, Miguel Mansilla Polo, Mónica Martins Lopes, Marta González de Arriba

引用次数: 0

Panhypopituitarism and diabetes insipidus secondary to hypothalamic glioblastoma multiforme. 继发于下丘脑多形性胶质母细胞瘤的泛垂体功能障碍和尿崩症。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.016

Pablo Solís Sánchez, Sara Nieto Martínez, Javier Pardo Lledias

引用次数: 0

Thyroid abscess due to Escherichia coli in a multiple myeloma patient. 一名多发性骨髓瘤患者因大肠杆菌引发的甲状腺脓肿。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-23 DOI: 10.1016/j.medcli.2024.09.022

Rita González Resina, Mar Herrero Gutiérrez, Gonzalo Caballero Navarro

引用次数: 0

Outcomes of liver transplantation with donors older than 80 years in HCV patients treated with direct-action antivirals vs. non-HCV patients. 接受直接作用抗病毒药物治疗的 80 岁以上 HCV 患者与非 HCV 患者的肝移植供体对比结果。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-22 DOI: 10.1016/j.medcli.2024.09.005

Oscar Caso Maestro, Virginia García Moreno, Iago Justo Alonso, Alberto Marcacuzco Quinto, Jose María Aguado, Carmelo Loinaz Segurola, Carlos Jiménez Romero

{"title":"Outcomes of liver transplantation with donors older than 80 years in HCV patients treated with direct-action antivirals vs. non-HCV patients.","authors":"Oscar Caso Maestro, Virginia García Moreno, Iago Justo Alonso, Alberto Marcacuzco Quinto, Jose María Aguado, Carmelo Loinaz Segurola, Carlos Jiménez Romero","doi":"10.1016/j.medcli.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.09.005","url":null,"abstract":"<p><strong>Background: </strong>Multiple studies have shown good results with the use of octogenarian donors in non-HCV recipients and its use is universally accepted worldwide. There are no studies analyzing differences between hepatitis C virus (HCV) and non-HCV recipients transplanted with donors≥80 years in the direct-action antivirals (DAA) period. The rate of liver transplantation (LT) using old donors is still low, and a change in the acceptance of these grafts could increase the liver pool available for LT.</p><p><strong>Material and methods: </strong>Since the introduction of DAA therapy in our hospital in January 2014 to May 2022, 457 LT were performed, and 74 (16.2%) of these patients underwent LT with donors≥80 years. A cohort study was carried-out comparing 15 HCV-positive recipients vs. 59 HCV-negative patients during the period of the study.</p><p><strong>Results: </strong>Recipients were younger in the non-HCV group. MELD and subsequently DMELD were higher in non-HCV group. Nevertheless, the association of hepatocellular carcinoma (HCC) with HCV cirrhosis was higher than with non-HCV cirrhosis (86.7% vs. 28.8%; p<0.001), but there were no recurrences within HCV group and only 1 case in the non-HCV group. The 1-, 3-, and 5-years patient and graft survival were similar in both groups. Recipient age and intraoperative transfusion requirements were predictors of graft survival [(HR 1.10, 95CI 1.01-1.21; p=0.03) and (HR 1.03, 95CI 1.01-1.05; p<0.001), respectively].</p><p><strong>Conclusions: </strong>In conclusion, the use of octogenarian donors was a safe alternative to younger donors in HCV recipients requiring LT in the era of DAA with similar results to those obtained in non-HCV patients.</p>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comprehensive approach to end-of-life care. Medical-legal, ethical, social, psychological and care aspects. 临终关怀的综合方法。医疗、法律、伦理、社会、心理和护理等方面。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-19 DOI: 10.1016/j.medcli.2024.10.001

Josep Arimany-Manso, Francesc Torralba, Ana Isabel Lima, María Die Trill

引用次数: 0

Increasing prevalence of psoriasis in Spain: A population-based study (2018-2022). 西班牙银屑病发病率不断上升：一项基于人口的研究（2018-2022 年）。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-18 DOI: 10.1016/j.medcli.2024.08.019

Lucía Cayuela, José-Juan Pereyra-Rodríguez, Juan-Carlos Hernández-Rodríguez, Lourdes Rodríguez Fernandez-Freire, Aurelio Cayuela

{"title":"Increasing prevalence of psoriasis in Spain: A population-based study (2018-2022).","authors":"Lucía Cayuela, José-Juan Pereyra-Rodríguez, Juan-Carlos Hernández-Rodríguez, Lourdes Rodríguez Fernandez-Freire, Aurelio Cayuela","doi":"10.1016/j.medcli.2024.08.019","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.08.019","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the prevalence of psoriasis in Spain from 2018 to 2022 and analyze trends by sex and age groups.</p><p><strong>Methods: </strong>We used the Primary Care Clinical Database (BDCAP) to identify individuals coded with psoriasis (S91) during the study period. Population data for calculating rates was obtained from the Primary Care Information System (SIAP). Crude, age- and sex-specific, and standardized prevalence rates were calculated. Joinpoint analysis assessed annual percentage change (APC) in prevalence.</p><p><strong>Results: </strong>The estimated psoriasis prevalence in Spain in 2022 was 1.9%. Psoriasis prevalence increased substantially by 43.3% (from 692,317 to 991,832 cases) over the study period. We observed a clear increase in both crude and standardized prevalence rates for men (7.2% annual increase) and women (8.3% annual increase) throughout the study period. Men consistently had slightly higher prevalence rates than women. Prevalence increased with age, reaching a peak in the 70-74 age group for men and 60-64 for women, before declining in older age groups.</p><p><strong>Conclusions: </strong>This study revealed a concerning increase in psoriasis prevalence in Spain, independent of population aging. Increased disease awareness, improved diagnostics, and greater treatment seeking behavior are potential explanations. Further research is needed to explore the underlying causes of this rise and inform public health interventions.</p>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges of genetics in the diagnosis of sudden cardiac death. Interest of forensic and legal medicine. 遗传学在诊断心脏性猝死方面的挑战。法医和法律医学的兴趣。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-18 DOI: 10.1016/j.medcli.2024.10.002

Alejandro Blanco-Verea, Ángel Carracedo, María Brion

引用次数: 0

¿Se tiene en cuenta la ingesta de etanol? 我们是否考虑过乙醇的消耗量？

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-15 DOI: 10.1016/j.medcli.2024.04.030

Javier Velasco Montes , Silvia González Díez , Elena Rivas Cilleros

引用次数: 0

Aspectos medicolegales en las enfermedades infecciosas 传染病的医疗法律问题。

IF 2.6 4区医学

Medicina Clinica Pub Date : 2024-11-15 DOI: 10.1016/j.medcli.2024.06.003

Robert Güerri-Fernández , Josep Benet , César Vargas

{"title":"Aspectos medicolegales en las enfermedades infecciosas","authors":"Robert Güerri-Fernández , Josep Benet , César Vargas","doi":"10.1016/j.medcli.2024.06.003","DOIUrl":"10.1016/j.medcli.2024.06.003","url":null,"abstract":"<div><div>This article reviews the medico-legal aspects associated with infectious diseases, highlighting their complexity and the challenges they pose. Infectious diseases cause not only an increase in morbidity and mortality in the healthcare setting but also involve complex legal issues. Healthcare-Associated Infections (HAIs) represent a growing risk with the increase in invasive procedures and can lead to patient complications and legal claims against healthcare professionals and institutions. The consequences of medical malpractice in this context are discussed, such as diagnostic delays, inappropriate use of treatments, and lack of adequate testing, which can have serious sequelae or even result in the patient's death.</div><div>The review focuses on highlighting the importance of prevention, considering that healthcare-associated infections can be difficult to avoid, posing complex legal challenges.</div><div>It concludes that managing infectious diseases and their legal consequences requires careful consideration of clinical practice guidelines, prevention and control strategies, and effective communication with patients. An integrated and evidence-based approach is advocated to address these challenges, emphasizing continuous education, the use of advanced diagnostic technologies, and interdisciplinary collaboration.</div></div>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"163 9","pages":"Pages e98-e102"},"PeriodicalIF":2.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0